Organization
MARSHALLS CREEK VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JON KOKOSKY OD (PRESIDENT)
(610) 704-6512
Entity
Organization
Contact information
Practice address
145 PALMER PARK MALL, PEARLE VISION, EASTON, PA 18045-2759
(610) 258-4372
(610) 258-5878
Mailing address
3220 GLASE RD, DANIELSVILLE, PA 18038-9692
(610) 837-2398
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000213
PA
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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